Torticollis as the sole initial presenting sign of systemic onset juvenile rheumatoid arthritis.
We describe a 6-year-old girl with acute torticollis as the initial manifestation of systemic onset juvenile rheumatoid arthritis (JRA). She presented with isolated torticollis for 2 weeks, followed by daily intermittent fever and polyarthritis. We discuss the pathogenesis of cervical spine involvement in JRA and the clues to early diagnosis.
Uziel
Y
Y
Department of Pediatrics, Sapir Medical Center, Kfar Saba, Israel.
Rathaus
V
V
Pomeranz
A
A
Solan
H
H
Wolach
B
B
D001171:Arthritis, Juvenile / Q000150:complications* / Q000000981:diagnostic imaging; D001268:Atlanto-Axial Joint / Q000000981:diagnostic imaging; D002648:Child; D005260:Female; D006801:Humans; D011877:Radionuclide Imaging; D014054:Tomography; D014103:Torticollis / Q000000981:diagnostic imaging / Q000209:etiology*